,,ii  #aaith ,,congress  #ast ,session  
,s4 #bibg  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,september #bi1
 #bjbe,mr4 ,marshall 7for himself and   
,mr4 ,reed7 introduced the following    
bill2 which was read twice and referred 
to the ,committee on ,health1           
,education1 ,labor1 and ,pensions  ,a   
,,bill  ,to amend the ,public ,health   
,service ,act to direct the ,secretary  
of ,health and ,human ,services1 acting 
through the ,administrator of the       
,health ,resources and ,services        
,administration1 to award grants1       
contracts1 or cooperative agreements for
 supporting new mobile cancer screening 
units to expand patient access to       
essential screening services in rural   
and underserved communities1 and for    
other purposes4  #a4 ,short title ,this 
,act may be cited as the ,mobile ,cancer
 ,screening ,act4  #b4 ,findings        
,congress finds the following3 7#a7     
,each year1 #b1jjj1jjj people in the    
,united ,states are diagnosed with      

cancer4  7#b7 ,lung cancer remains the  
leading cause of cancer deaths in the   
,united ,states1 with #abg1jgj deaths in
 #bjbc alone4 ,despite its prevalence1  
only #d4e percent of eligible           
individuals were screened for lung      
cancer in #bjbb4  7#c7 ,mobile cancer   
screening units have proven effective in
 increasing access to essential         
screenings1 including for breast cancer 
and more recently lung cancer4  7#d7    
,nationally1 only #bf4f percent of lung 
cancer cases are diagnosed at an early  
stage when the #e-year survival rate is 
#fc percent4  #c4 ,mobile cancer        
screening grants ,part ,d of title ,,iii
 of the ,public ,health ,service ,act   
7#db ,u4,s4,c4 #bed;b et seq47 is       
amended by adding at the end the        
following3  ,,xiii ,mobile cancer       
screening units  #cdj;,j4 ,grants1      
contracts1 and cooperative agreements   
7a7 ,in general ,the ,secretary1 acting 
through the ,administrator of the       
,health ,resources and ,services        

,administration1 shall award grants1    
contracts1 or cooperative agreements to 
eligible entities for the purpose of    
supporting new mobile cancer screening  
units to expand patient access to       
essential screening services in rural   
and underserved areas4  7b7 ,eligible   
entities ,entities eligible for an award
 under subsection 7a7 include-- 7#a7 a  
nonprofit hospital2  7#b7 a             
,federally-qualified health center2     
7#c7 an academic health center2  7#d7 a 
health system2 and  7#e7 a consortium or
 other collaboration of #b or more      
entities listed in any of paragraphs    
7#a7 through 7#d74  7c7 ,use of funds   
,for the purpose described in subsection
 7a71 funds awarded under this section  
may be used for-- 7#a7 purchasing a     
commercial vehicle to operate a mobile  
cancer screening unit2  7#b7 acquiring  
imaging technology2  7#c7 purchasing    
digital tools needed to operate a mobile
 cancer screening unit2 and  7#d7       
covering other costs determined by the  

,secretary to be essential startup or   
operational costs4  7d7 ,funding limit  
,the amount of an award under subsection
 7a7 may not exceed #b1jjj1jjj4  7e7    
,prioritization ,in making awards under 
subsection 7a71 the ,secretary shall    
prioritize-- 7#a7 applicants with the   
highest potential impact on patient     
mortality and screening gaps for        
high-risk individuals2  7#b7 applicants 
serving underserved populations1        
including-- 7,a7 rural areas2 and  7,b7 
areas served by the ,indian ,health     
,service2 and  7#c7 applicants able to  
provide comprehensive follow-up care for
 abnormal findings within #ij minutes of
 the unit by ground transportation4  7f7
 ,matching funds ,as a condition on     
receipt of an award under this section1 
an eligible entity shall agree that1    
with respect to costs to be incurred by 
the entity in carrying out activities   
for which the award is made1 the entity 
will contribute from non-,federal       
sources1 in cash or in kind1 an amount  

equal to not less than #a dollar for    
every #c dollars provided through the   
award4  7g7 ,report to ,congress  7#a7  
,submission ,not later than #d years    
after the date of enactment of this     
section1 the ,secretary shall submit a  
report to the ,committee on ,energy and 
,commerce of the ,house of              
,representatives and the ,committee on  
,health1 ,education1 ,labor1 and        
,pensions of the ,senate4  7#b7         
,contents ,the report required by       
paragraph 7#a7 shall include-- 7,a7 the 
total number of patients screened using 
mobile cancer screening units funded    
through awards under this section1 with 
data on such total number of patients   
de-identified and disaggregated by race1
 ethnicity1 age1 sex1 geographic region1
 disability status1 and other relevant  
factors2  7,b7 the impact of awards     
under subsection 7a7 on increasing      
screening rates1 early cancer detection1
 and improved patient outcomes2  7,c7   
recommendations for improving the       

program under this section2 and  7,d7   
such other information and              
recommendations as the ,secretary       
determines to be relevant4  7h7         
,authorization of appropriations ,to    
carry out this section1 there is        
authorized to be appropriated           
#ae1jjj1jjj for each of fiscal years    
#bjbg through #bjca4  4